Northwell Mather Hospital - Online Bill Pay

Mather Hospital will provide financial assistance to those who qualify. In addition, Mather can counsel you on government assistance programs.

Financial Assistance Policy

Financial Assistance Policy – Plain Language Summary

Frequently Asked Financial Assistance Program Questions:

Mather Hospital provides reduced fees for uninsured or under-insured patient earning up to 450% of the federal poverty level. Inpatient and outpatient medically necessary services are included.

If you qualify for Financial Assistance, the discounts can be applied towards open balances from co-payments, deductible and/or co-insurance. Personal items such as: private room differential or non-medically necessary services cannot be considered under Financial Assistance.

Please contact the Financial Assistance Representative at 631-473-1320, ext. 4037

Patients applying for Financial Assistance are expected to fully cooperate in qualifying for government programs (i.e. Medicaid) and may be expected to provide our facility with additional documentation to further support their income and asset levels.
**Financial Assistance applications are furnished upon request**

The Financial Assistance Program is based on federal poverty levels for family size and income.

Upon receipt of your first statement from the Mather Hospital Patient Accounting Department, you will be provided with the information necessary to contact the Financial Assistance Representative. If you wish to do so sooner, please feel free to contact the Financial Assistance Representative at 631-476-2801 option 1. Once the Financial Assistance Representative receives a completed application, the Senior Director of Patient Accounts has 30 days to contact the applicant via mail with the final decision.

In the event a Financial Assistance applicant is denied free care or does not agree with the determination, they may appeal the decision by contacting the Financial Assistance Representative at 631-476-2801 option 1 for a Financial Assistance Appeal Form. Otherwise, all denied applicants are afforded the opportunity to develop a realistic and fair payment plan, while recognizing the financial obligation for the services provided.

Financial Assistance application

When completing an application for financial assistance, please remember:

  • You are encouraged to apply for financial assistance within 90 days from the first
    post-discharge date noted on the statement; however, you are permitted
    a minimum of 240 days to apply and submit a completed application.
  • To avoid delays, please attach copies of all required documentation—including
    checks, pay stubs and/or statements—that support the income reported on your
    financial assistance application. In addition, please provide copies of all bills and
    statements you would like us to review as part of your application. Note: We
    reserve the right to request additional documentation related to resources for
    patients with household incomes under 150% of the federal poverty level.
  • Once we receive your completed application, you can disregard any bills or
    statements until you receive written notification regarding your financial assistance
    application.
  • Applicants for financial assistance will be expected to fully cooperate in applying
    for any applicable public insurance program (e.g., Medicaid, Child Health Plus, etc.)
    that Northwell Health believes they may be eligible for.
  • If an incomplete application is received, Northwell Health will provide written
    notice describing additional information or documentation required to determine
    eligibility. You will be given 30 days to provide this information. The normal billing
    cycle will continue, but any extraordinary collection actions will be suspended
    during this time.
  • Your application will be kept strictly confidential.

About the financial assistance program

Northwell Health is dedicated to providing accessible and affordable care to the individuals, families and communities we serve. Through our financial assistance program, we provide discounted services—based on financial need—to those who are uninsured, underinsured, ineligible for government programs or other third-party coverage, or otherwise unable to pay for emergency or other medically necessary care. Use our online form or, if you prefer, apply by mail.

 

Northwell Health
Financial Assistance Unit
P.O. BOX 9001
Melville, NY 11747

 

For more information you can contact us at: 631-313-7712

After Applying

After submitting a completed application, including all requested documentation, you can disregard bill(s) received until a final decision is made. We will contact you within 30 days, either by telephone or by mail, to inform you of the decision.

 

Contact Information

If you would like more information about our Financial Assistance Program or have questions, please feel free to contact us Monday through Friday, 8am to 6pm, by phone at 631-313-7712.